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埃塞俄比亚亚的斯亚贝巴宫颈癌确诊患者的就医行为

Health Seeking Behavior of Patients Diagnosed with Cervical Cancer in Addis Ababa, Ethiopia.

作者信息

Mesafint Zinaw, Berhane Yemane, Desalegn Dawit

机构信息

Tikur Anbessa Specialized Hospital, Addis Ababa University.

Addis Continental Institute of Public Health.

出版信息

Ethiop J Health Sci. 2018 Mar;28(2):111-116. doi: 10.4314/ejhs.v28i2.2.

Abstract

BACKGROUND

Cervical cancer is increasingly recognized as one of the public health problems among women in developing countries. Most women with cervical cancer are seen in the health care system late with advanced stage of cancer. This study aims to explore the care seeking behavior of women with cervical cancer.

METHODS

A qualitative study was conducted to explore the health seeking behavior of women with cervical cancer for patients who were admitted with cervical cancer in Tikur Anbessa Hospital. In-depth interviews were conducted with purposively selected participants. Interviews were transcribed verbatim and then translated into English and analyzed using a content analysis approach. The study period was from October 2013 to April 2014.

RESULTS

The study found that women diagnosed with cervical cancer lack prior awareness about cervical cancer and availability of screening services. Moreover, decision making to seek medical care up on experiencing early symptoms seems to be delayed. Women reported the first symptom was unusual vaginal bleeding that forces them to seek care. The bleeding could be profound and accompanied by offensive odor. Fear of stigmatization could make women reluctant to seek timely care. Once treatment is started most women found it shockingly expensive.

CONCLUSION

Women lack general awareness about the nature and symptoms of cervical cancer. All health services providers serving women need to sensitize women to seek timely screening services and timely treatment services if cervical cancer is confirmed.

摘要

背景

宫颈癌日益被视为发展中国家女性面临的公共卫生问题之一。大多数宫颈癌女性患者在医疗系统中被发现时已处于癌症晚期。本研究旨在探讨宫颈癌女性患者的就医行为。

方法

开展了一项定性研究,以探究在提库尔安贝萨医院收治的宫颈癌患者的就医行为。对经过有目的选择的参与者进行了深入访谈。访谈内容逐字记录,然后翻译成英文,并采用内容分析法进行分析。研究时间段为2013年10月至2014年4月。

结果

研究发现,被诊断为宫颈癌的女性缺乏对宫颈癌及筛查服务可获得性的预先认知。此外,在出现早期症状后寻求医疗护理的决策似乎有所延迟。女性报告最初症状是异常阴道出血,这迫使她们去就医。出血可能很严重,并伴有恶臭味。对污名化的恐惧可能使女性不愿及时就医。一旦开始治疗,大多数女性发现费用高得惊人。

结论

女性对宫颈癌的性质和症状缺乏普遍认知。所有为女性提供服务的医疗服务提供者都需要提高女性的意识,以便她们在确诊宫颈癌时能及时寻求筛查服务和及时治疗服务。

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